Individual
BRYAN W EDWARDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2172 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-5302
(651) 633-8110
(651) 633-2831
Mailing address
8909 PORTLAND AVE S, BLOOMINGTON, MN 55420-2918
(952) 887-1687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4172
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292R6ED
BCBS
MN
Enumeration date
04/01/2006
Last updated
07/08/2007
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